Individual provider Active NPI

Carol Anne Renouf, ARNP

  • Family Nurse Practitioner
  • Windham, NH
National Provider Identifier
1750405742
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
016873-23-03 Issued in NH
Practice address
63 Range Rd
Windham, NH 03087-2098
Phone
(603) 893-4119
NPI assigned
Mar 17, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 016873-23-03 NH Primary

Addresses

Primary practice location

63 Range Rd
Windham, NH 03087-2098

Mailing address

286 Central St
East Hampstead, NH 03826-2440
Phone (603) 382-9394

Other identifiers 1

IdentifierTypeStateIssuer
30342371MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH Past Accepting new patients
Greater Hampstead Family Medicine, Inc. PastSince Jun 3, 1992 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750405742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 CENTRAL ST",
            "city": "EAST HAMPSTEAD",
            "state": "NH",
            "postal_code": "038262440",
            "telephone_number": "603-382-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 RANGE RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872098",
            "telephone_number": "603-893-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENOUF",
        "first_name": "CAROL",
        "middle_name": "ANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "016873-23-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30342371",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.